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关节镜治疗膝关节盘状半月板损伤的探讨
引用本文:莫新发,刘先银,曾昕明,周雪明. 关节镜治疗膝关节盘状半月板损伤的探讨[J]. 国际医药卫生导报, 2004, 10(16): 46-47
作者姓名:莫新发  刘先银  曾昕明  周雪明
作者单位:东莞市人民医院骨科,广东东莞,523000
摘    要:目的 探讨关节镜治疗盘状半月板的疗效。方法 58例盘状半月板患者,其中不全型20例,完全型29例,Wisberg韧带型9例,根据分型与损伤情况行盘状半月板完全切除与部分切除。结果 本组58例,随访1~6年,平均4年1月,优26例,良24例,可5例,差3例,优良率为86.2%。完全型盘状半月板中,全切患者的优良率为87.5%,部分切除成形术优良率为46.2%,二者有显著性差异;不完全型盘状半月板中,全切患者的优良率为77.8%,部分切除成形术优良率为81.8%,两者无显著性差别。结论 关节镜下盘状半月板成形术可获得优良疗效;完全型盘状半月板主张盘状半月板完全切除,而不全型主张尽可能行关节镜下盘状半月板部分切除成形术。

关 键 词:盘状半月板 关节镜 治疗
文章编号:1007-1245(2004)16-0046-02
修稿时间:2004-04-06

inical Research of Arthroscopic Management of Discoid Meniscus</b></span></td> </tr> <tr> <td align="left" height="15" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" height="25" valign="top" colspan=2"><author> Xinfa Dongguan People's Hospital,Dongguan ,China. <title>inical Research of Arthroscopic Management of Discoid Meniscus[J]. International Medicine & Health Guidance News, 2004, 10(16): 46-47</td> </tr> <tr> <td align="left" height="10" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Authors:</b></td><td width="92%" valign="top" align="left" ><a target='_blank' href='search.aspx?subject=medicine_health&major=yx&orderby=referenced&field=author_name&q=%3cauthor%3e+Xinfa+Dongguan+People%27s+Hospital&prev_q=%3cauthor%3e+Xinfa+Dongguan+People%27s+Hospital'><author> Xinfa Dongguan People's Hospital</a>  <a target='_blank' href='search.aspx?subject=medicine_health&major=yx&orderby=referenced&field=author_name&q=Dongguan+&prev_q=Dongguan+'>Dongguan </a>  <a target='_blank' href='search.aspx?subject=medicine_health&major=yx&orderby=referenced&field=author_name&q=China&prev_q=China'>China</a></td> </tr> <tr><td align="left" height="10" valign="top"></td><td valign="top" align="left"></td></tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Affiliation:</b></td><td width="92%" valign="top" align="left" ><author> Xinfa Dongguan People's Hospital,Dongguan 523000,China</td> </tr> <tr><td align="left" height="10" valign="top"></td><td valign="top" align="left"></td></tr> <tr> <td align="left" height="25" valign="top" nowrap><b>Abstract:</b></td><td width="92%" align="left" valign="top"><abstract>jective To study the therapeutic method and efficacy of discoid meniscus urder arthroscopy. Methods Fifty-eight cases of discoid menisci were underwent arthroscopic lateral partial or total menlscectomy in the light of type and injury condition .Results Bases on Ikeuchi's grading,26 cases were excellent ,24 cases good and 5 cases fair, the excellent and good result was 86.2%. In cases of complete type of discoid meniscus, the excellent and good result was 87. 5% which patients treated with total meniscectomy, the excellent and good result was 46.3% which patients treated with partial meniscectomy, the difference was significant . In cases of incomplete type of discoid meniscus, there were no significant difference between total and partial meniscectomy. Conclusions Arthroscopic management for discoid meniscus can obtain excellent and good efficacy . Patients suffered complete type of discoid meniscus should be treated with total meniscectomy, while incomplete one should be treated with partial meniscectomy.</td> </tr> <tr> <td align="left" height="15" valign="top"></td><td valign="top" align="left"></td> </tr> <tr> <td align="left" valign="top" height="25" nowrap><b>Keywords:</b></td><td width="92%" valign="top" align="left" >throscopy Treatment Discoid menisci</td> </tr> <tr> <td align="left" colspan="2" height="30"><b>本文献已被 <a href="http://www.cnki.com.cn/Article/CJFDTotal-GJYW200416024.htm" target="_blank">CNKI</a> <a href="http://www.cqvip.com/qk/90485X/200416/10391039.html" target="_blank">维普</a> <a href="http://d.wanfangdata.com.cn/Periodical_gjyywsdb200416024.aspx" target="_blank">万方数据</a> 等数据库收录!</b></td> </tr> </table> </td> </tr> </table> <table width="870" align="center"> <tr><td align="left"> <div id="WasReferencedList"> </div> </td></tr> <tr><td align="left"> <div id="RelateArticleList"> </div> </td></tr> </table> <table width="870" border="0" align="center" cellpadding="0" cellspacing="0"> <tr> <td height="40" align="center" class="fo2"> <a href="#" onClick="this.style.behavior='url(#default#homepage)';this.setHomePage('http://yyws.alljournals.cn')">设为首页</a> <span class="STYLE1">|</span> <a href="http://www.alljournals.cn/note.aspx">免责声明</a> <span class="STYLE1">|</span> <a href="http://www.e-tiller.com"><u>关于勤云</u></a> <span class="STYLE1">|</span> <a href="javascript:window.external.addFavorite('http://yyws.alljournals.cn','期刊界 All Journals---医药、卫生')">加入收藏</a></td> </tr> <tr> <td align="center" class="fo3"> <p align="center"> Copyright<span lang="en">©<a href="http://www.e-tiller.com"><u>北京勤云科技发展有限公司</u></a>  京ICP备09084417号    </span></p> </td> </tr> </table> </body> </html> <script language=javascript> $(document).ready(function() { $("div#WasReferencedList").html("正在获取引用信息,请稍候..."); $.get("was_referenced_list.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=C67D2F8D2B6D9BA9&jid=1D72B5397CD84C347AFECD8284C8EAFF&yid=D0E58B75BFD8E51C&aid=B7192CCA71849AB1&iid=7801E6FC5AE9020C&is_more=0&cp=1&tn=0",function(xml){ if(xml==""){ $("div#WasReferencedList").html(""); }else{ $("div#WasReferencedList").html(xml); } }); $("div#RelateArticleList").html("正在获取相似文献,请稍候..."); $.get("relate_article_list.aspx?pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=C67D2F8D2B6D9BA9&aid=B7192CCA71849AB1&language=2&ctl=18&etl=69",function(xml){ if(xml==""){ $("div#RelateArticleList").html(""); }else{ $("div#RelateArticleList").html(xml); } }); }); </script>